HealthcareCrossing Jobs

Commercial Medical Director - Work At Home - USA-ME-Portland

Mon, 26 Jun 2023 00:00:00 CDT

Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of...

Associate Director, Problem, Incident and Event Management - USA-ME-Portland

Mon, 26 Jun 2023 00:00:00 CDT

Description The Associate Director, Problem, Incident and Event Management drives technical support teams to recover services during periods of service disruption or outages to key technology platfor...

Associate VP, Technology Solutions, Pharmacy - USA-ME-Portland

Thu, 06 Jul 2023 00:00:00 CDT

Job Information Humana Associate VP, Technology Solutions, Pharmacy in Portland Maine Description The Associate Vice President of Technology Solutions acts as a liaison and collaborates with the busin...

Associate Director Technology Solutions - Medicaid - USA-ME-Portland

Sat, 22 Apr 2023 00:00:00 CDT

Description Humana Medicaid is growing and you have the unique opportunity to grow with us! Join our team and propel Humana forward to solve the technology challenges of tomorrow. You'll collaborate ...

RN Care Manager - Remote, nationwide - USA-ME-Portland

Sat, 22 Apr 2023 00:00:00 CDT

Description The Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues. Identifies an...

Inpatient Medical Coding Auditor - USA-ME-Portland

Thu, 20 Apr 2023 00:00:00 CDT

Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patie...

Bilingual Medicaid Inbound Call Center Rep - USA-ME-Portland

Sat, 22 Apr 2023 00:00:00 CDT

Description Humana is continuing to grow nationwide! We have 28 new Bilingual Medicaid Inbound Contact Representative openings that will have the pleasure of taking inbound calls from our Florida Med...

Medical Director - Claims Management - USA-ME-Portland

Thu, 20 Apr 2023 00:00:00 CDT

Telephonic Behavioral Health Care Manager - USA-ME-Portland

Thu, 04 May 2023 00:00:00 CDT

Job Information Humana Telephonic Behavioral Health Care Manager in Portland Maine Description The Behavioral Health Care Manager, in a telephonic environment, assesses and evaluates members' needs an...

Senior Pre-Authorization Nurse - USA-ME-Portland

Mon, 11 Sep 2023 00:00:00 CDT

Description The Senior Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to t...

RN, Utilization Management - Behavioral Health - USA-ME-Portland

Fri, 23 Jun 2023 00:00:00 CDT

Description Full-Time Remote, Telephonic RN opportunity. The Utilization Management Behavioral Health Nurse utilizes behavioral health knowledge and skills to support the coordination, documentation...

Pre-Authorization Nursing Supervisor - USA-ME-Portland

Sat, 13 May 2023 00:00:00 CDT

Description The Supervisor, Pre-Authorization Nursing reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward reques...

RNAC - MDS Coordinator - USA-ME-Waterville

Sun, 21 May 2023 00:00:00 CDT

Genesis is one of the nation's leading providers of healthcare services from short-term to long-term care and a wide variety of living options and professional clinical services. We are changing how c...

Bilingual Quality Auditor - USA-ME-Portland

Sat, 03 Jun 2023 00:00:00 CDT

Job Information Humana Bilingual Quality Auditor in Portland Maine Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medicare Servi...

Remote Systems Clinical Pharmacist - USA-ME-Portland

Thu, 01 Jun 2023 00:00:00 CDT

Description The Remote Systems Clinical Pharmacist will provide excellent customer service to both internal and external customers by developing and maintaining relationships with Account / Clinical ...

Clinical Physician Assistant - Mental Health - Rumford CBOC - USA-ME-Rumford

Mon, 05 Jun 2023 00:00:00 CDT

Qualifications \n
\n \n Applicants pending the completion of educational or certification/licensure requirements ...

Business Development Leader - USA-ME-South Portland

Mon, 05 Jun 2023 00:00:00 CDT

This position supports the Maine/ Vermont Market. Position HighlightsReports to President and Market LeaderOrganize Genesis sales and marketing resources around market dynamics, referral sources, dec...

Patient Access Representative - Presque Isle, ME - 2173916I - USA-ME-Presque Isle

Mon, 05 Jun 2023 00:00:00 CDT

Job Code 2173916I Opportunities at Northern Light Health , in strategic partnership with Optum. Whether you are looking for a role in a clinical setting or supporting those who provide care, we have o...

Data and Reporting Professional II - USA-ME-Portland

Sun, 18 Jun 2023 00:00:00 CDT

Description The Data and Reporting Professional II generates ad hoc reports and regular datasets or report information for end-users using system tools and database or data warehouse queries and scri...

Senior Copy Writer - USA-ME-Portland

Sun, 18 Jun 2023 00:00:00 CDT

Job Information Humana Senior Copy Writer in Portland Maine Description Humana's The Hive is looking for a Senior Copy Writer to join the team! The Hive is Humana's in-house agency, a creative collect...